Publications by authors named "K Spence"

Background: As numbers of dogs entering Canada from abroad are increasing, it is essential to understand the scope, challenges, and risks associated with canine importation. Canadian veterinarians' collective experience with and clinical knowledge of imported dogs can provide valuable insights into this practice.

Objective: To describe Canadian veterinarians' experiences with, and perspectives of, imported dogs in clinical practice.

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Introduction: Access to veterinary services is integral for animals of all species. These services play a crucial role in maintaining their health and welfare and maintaining a healthy, safe, and sustainable food system. Research has consistently shown that rural communities face challenges accessing veterinary services, with livestock producers outlining several barriers including cost, inadequate infrastructure, and delays in receiving treatments.

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There has been a significant paradigm shift in the management of infants with NOWS to emphasizing the role of non-pharmacologic care centered on the mother-infant dyad. By promoting bonding through rooming-in, breast-feeding and skin-to skin contact in a low stimulation environment, short and long-term outcomes have dramatically improved, resulting in reduced length of stay and need for pharmacologic treatment of the newborn. This shift in care also empowers the mother and promotes bonding and attachment, providing a solid foundation for a safe discharge.

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Objective:  This study aimed to assess the impact of cannabis legalization on both qualitative and quantitative umbilical cord tissue tetrahydrocannabinol (THC) rates and concentrations as a proxy for fetal exposure.

Study Design:  This is a retrospective, observational study of umbilical cord tissue THC levels in a single center, comparing THC exposure rates and concentration levels before and after cannabis legalization in the state of Illinois, Epoch 1 (October 1, 2018-June 30, 2019, pre-legalization) and Epoch 2 (July 1, 2019-August 31, 2021, post-legalization).

Results:  A total of 811 umbilical cords were analyzed during epoch 1 and 2,170 during epoch 2.

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